Responsible for managing and coordinating the patient care transitions program.
Ensures the patient's progression through the care continuum in a manner that achieves designed clinical and financial outcomes.
Participates in the system development and implementation of integration of care transitions along the continuum of care.
Works in close collaboration with the multidisciplinary team, in all settings including ambulatory, post-acute providers and health plans.
Serves as mentor by role modeling a professional practice consistent with organizational goals, customer service, clinical effectiveness, and standards of care.
Responsible for developing and managing the departmental budget, compliance to federal, state and regulatory requirements.
Manages the DSNP team with oversight of Medicare and Medicaid requirements.
Oversees contractual compliance and NCQA requirements.
Leads 5 direct reports (supervisors) and 66 indirect reports, including care coordinators, ICMs, and LCSWs, etc.

Bachelor’s Degree REQUIRED
One of the following is REQUIRED: Registered Nurse License (RN)
Nursing License
Compact/Multi-State License or Licensed Clinical Social Worker (LCSW)
State license
North Carolina Social Work Certification and Licensure Board (NCSWCLB) or Qualified Mental Health Professional (QMHP)
State License
Virginia Department of Health Professionals (VADHP) or Licensed Clinical Mental Health Counselor (LCMHC)
State License
North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC) or Licensed Professional Counselor (LPC)
State license
Virginia Department of Health Professionals (VADHP) or Licensed Professional Counselor (LPC)
State license
North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC)
3 years of case management experience REQUIRED
1 year of leadership experience REQUIRED
With extensive Medicare/DSNP experience preferred
Has knowledge of LTSS Medicaid requirements
Has worked with State Medicaid Agency Contract (SMAC)

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Manager, Integrated Care Management – RN, LPC, LCSW, LCMHC

Key skills